Individual
MS. MELESSIA M CONGDON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
500 PARK ST, OLYPHANT, PA 18447-1982
(570) 383-9066
(570) 383-4183
Mailing address
500 PARK ST, OLYPHANT, PA 18447-1982
(570) 383-9066
(570) 383-4183
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH068160
PA
Other
Enumeration date
01/09/2006
Last updated
07/08/2007
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